Individual
MICHELLE ALEXANDRIA BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 N 1ST ST, SPRINGFIELD, IL 62781-0001
(217) 788-3030
Mailing address
813 PULASKI ST, LINCOLN, IL 62656-2901
(217) 737-2470
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
209027477
IL
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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